JVQ-R2, Abbreviated Interview Version, Caregiver Lifetime Form
Now we are going to ask you about some things that might have happened in your child’s life.
Module A: CONVENTIONAL CRIME
Notes to interviewer: a) Do not read Module labels (“Conventional Crime” etc). These are for your info only.
b) If it’s apparent there was more than one incident, say, “Answer the next questions about the last time this happened.”
c) Try to complete follow-ups from open-ended response to questions. Read response categories only if caregiver needs help.
d) For multiple perpetrators, collect information for up to 5 perpetrators.
C1)At any time in your child’s life, did anyone use force to take something away from your child that your child was carrying or wearing?
1YESGo to C1a
2NOGo to C2
C1a) Did this happen in the last year?
1Yes
2No
C1b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition] “Hurt means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.”
1Yes
2No
C1c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relative who lives in your child’s home (uncle, grandparent, etc.)
5A relative who does not live with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someone else your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C1d) Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C2)At any time in your child’s life, did anyone steal something from your child and never give it back? Things like a backpack, money, watch, clothing, bike, stereo, or anything else?
1YESGo to C1a
2NOGo to C2
C2a) Did this happen in the last year?
1Yes
2No
C2b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition] “Hurt means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.”
1Yes
2No
C2c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relative who lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someone else your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C2d) Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C3)At any time in your child’s life, did anyone break or ruin any of your child’s things on purpose?
1YESGo to C3a
2NOGo to C4
C3a) Did this happen in the last year?
1Yes
2No
C3b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
C3c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relative who lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someone else your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C3d) Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C4)Sometimes people are attacked with sticks, rocks, guns, knives, or other things that would hurt. At any time in your child’s life, did anyone hit or attack your child on purpose with an object or weapon? Somewhere like: at home, at school, at a store, in a car, on the street, or anywhere else?
1YESGo to C4a
2NOGo to C5
C4a) Did this happen in the last year?
1Yes
2No
C4b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day, you had a bruise, you had a cut that bled, or anything more serious like a broken bone.
1Yes
2No
C4c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relativewho lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someoneelse your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C4d) Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C4e) Did the person who did this use any of these?
1Gun
2Knife
3Stick, rock, bottle, pipe, or tool such as a hammer or wrench
4Other (Specify ______)
5No weapon used
C5)At any time in your child’s life, did anyone hit or attack your childwithout using an object or weapon?
1YESGo to C5a
2NOGo to C6
C5a) Did this happen in the last year?
1Yes
2No
C5b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
C5c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relative who lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someone else your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C5d)Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C6)At any time in your child’s life, did someone start to attack your child, but for some reason, it didn’t happen? For example, someone helped your child or your child got away?
1YESGo to C6a
2NOGo to C7
C6a)Did this happen in the last year?
1Yes
2No
C6b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
C6c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relativewho lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someoneelse your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C6d) Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C7) At any time in your child’s life, did someone threaten to hurt your child when your child thought they might really do it?
1YESGo to C7a
2NOGo to C8
C7a)Did this happen in the last year?
1Yes
2No
C7b) Were you physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
C7c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relativewho lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someoneelse your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C7d) Was this person a man, woman, boy, or girl?
1Man
2Woman
3Boy
4Girl
C8)At any time in your child’s life, did anyone try to kidnap your child?
1YESGo to C8a
2NOGo to C9
C8a) Did this happen in the last year?
1Yes
2No
C8b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain the next day, you had a bruise, a cut that bled, or anything more serious like a broken bone.
1Yes
2No
C8c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relativewho lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someoneelse your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C8d) Was this person a man, woman, boy or girl?
1Man
2Woman
3Boy
4Girl
C8e) Were you actually kidnapped or did you get away before it happened?
1Kidnapped
2Got away (Note to interviewer: This includes with any help)
C9) At any time in your child’s life, has your child been hit or attacked because of your child’s skin color, religion, or where your child’s family comes from? Because of a physical problem your child has? Or because someone said your child was gay?
1YESGo to C9a
2NOGo to Module B, M1
C9a)Did this happen in the last year?
1Yes
2No
C9b) Were you physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain the next day, you had a bruise, a cut that bled, or anything more serious like a broken bone.
1Yes
2No
C9c) Who did this?
1Brother, sister, or other child who lives with your child (cousin, foster sibling, etc.)
2Father (including step-father, foster father, or live-in boyfriend)
3Mother (including step-mother, foster mother, or live-in girlfriend)
4A relativewho lives in your child’s home (uncle, grandparent, etc.)
5A relative who does notlive with your child
6Your child’s boyfriend, girlfriend, date, or ex-boyfriend or ex-girlfriend
7Someoneelse your child knows such as a friend, neighbor, teacher, or someone from school
8Stranger (a stranger is someone your child doesn’t know)
9Other ______(write in who it was)
C9d) Was this person a man, woman, boy or girl?
1Man
2Woman
3Boy
4Girl
C9e) What was the reason? Was it because of:
1Your child’s skin color
2Your child’s religion
3Where your family comes from
4Because of some physical problem your child has
5Because someone said your child wasgay
Module B: CHILD MALTREATMENT
Next, we are going to ask about grown-ups who take care of your child. This means parents, babysitters, adults who live with your child, or others who watch your child. Before we begin, I want to remind you that your answers will be kept totally private. If there is a particular question that you don't want to answer, that's O.K. But it is important that you be as honest as you can, so that the researchers can get a better idea of the kinds of things that kids your child’s age sometimes face.
M1)Not including spanking on your child’s bottom, at any time in your child’s life, did a grown-up in your child’s life hit, beat, kick, or physically hurt your child in any way?
1YESGo to M1a
2NOGo to M2
M1a)Did this happen in the last year?
1Yes
2No
M1b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
M1c) Who did this?
1Father
2Step-father
3Foster father
4Mother
5Step-mother
6Foster mother
7Parent’s boyfriend or girlfriend who lives with your child
8Parent’s boyfriend or girlfriend who does notlive with your child
9Uncle, aunt, grandparent, or other adult relative who lives in your child’s home
10Grown-up relative, such as uncle, aunt, grandparent, who does notlive with your child
11Grown-up you know but do not live with, such as teacher, coach, neighbor, or babysitter
12Other ______(write in who it was, recode if none in caregiving role)
M1d) Was this person a man, or a woman?
1Man
2Woman
3Boy
4Girl
M1e) Did the person who did this use any of these?
1Gun
2Knife
3Stick, rock, bottle, pipe, or tool such as a hammer or wrench
4Other (Specify ______)
5No weapon used
M2)At any time in your child’s life, did your child get scared or feel really bad because grown-ups in your child’s life called your child names, said mean things to your child, or said they didn’t want your child?
1YESGo to M2a
2NOGo to M3
M2a)Did this happen in the last year?
1Yes
2No
M2b) Who did this?
1Father
2Step-father
3Foster father
4Mother
5Step-mother
6Foster mother
7Parent’s boyfriend or girlfriend who lives with your child
8Parent’s boyfriend or girlfriend who does notlive with your child
9Uncle, aunt, grandparent, or other adult relative who lives in your child’s home
10Grown-up relative, such as uncle, aunt, grandparent, who does notlive with your child
11Grown-up you know but do not live with, such as teacher, coach, neighbor, or babysitter
12Other ______(write in who it was, recode if none in caregiving role)
M2c) Was this person a man, or a woman?
1Man
2Woman
3Boy
4Girl
M3)When someone is neglected, it means that the grown-ups in their life didn’t take care of them the way they should. They might not get them enough food, take them to the doctor when they are sick, or make sure they have a safe place to stay. At any time in your child’s life, did your child get neglected?
1YESGo to M3a
2NOGo to M4
M3a)Did this happen in the last year?
1Yes
2No
M3b) Who did this?
1Father
2Step-father
3Foster father
4Mother
5Step-mother
6Foster mother
7Parent’s boyfriend or girlfriend who lives with your child
8Parent’s boyfriend or girlfriend who does notlive with your child
9Uncle, aunt, grandparent, or other adult relative who lives in your child’s home
10Grown-up relative, such as uncle, aunt, grandparent, who does notlive with your child
11Grown-up you know but do not live with, such as teacher, coach, neighbor, or babysitter
12Other ______(write in who it was, recode if none in caregiving role)
M3c) Was this person a man, or a woman?
1Man
2Woman
3Boy
4Girl
M3d) Did your child get sick when this happened?
1 Yes
2 No
M4)Sometimes a family fights over where a child should live. At any time in your child’s life, did a parent take, keep, or hide your child to stop your child from being with another parent?
1YESGo to M4a
2NOGo to Module C, P1
M4a) Did this happen in the last year?
1Yes
2No
M4b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
M4c) Who did this?
1Father
2Step-father
3Foster father
4Mother
5Step-mother
6Foster mother
7Parent’s boyfriend or girlfriend who lives with your child
8Parent’s boyfriend or girlfriend who does notlive with your child
9Uncle, aunt, grandparent, or other adult relative who lives in your child’s home
10Grown-up relative, such as uncle, aunt, grandparent, who does notlive with your child
11Grown-up you know but do not live with, such as teacher, coach, neighbor, or babysitter
12Other ______(write in who it was, recode if none in caregiving role)
M4d) Was this person a man, or a woman?
1Man
2Woman
3Boy
4Girl
M4e) Did this person take, keep or hide your childto try to keep your child from ever living with this other parent?
1Yes
2No
Module C: PEER AND SIBLING VICTIMIZATIONS
Notes to interviewer:
a) If it’s apparent there was more than one incident, say, “Answer the next questions about the last time this happened.”]
b) Try to complete follow-ups from open-ended response to questions. Read response categories only if caregiver needs help.
P1)Sometimes groups of kids or gangs attack people. At any time in your child’s life, did a group of kids or a gang hit, jump, or attack your child?
1YESGo to P1a
2NOGo to P2
P1a)Did this happen in the last year?
1Yes
2No
P1b) Was your child physically hurt when this happened? [If this is first time injury question is asked, read definition:] “Hurt” means you could still feel pain in your body the next day. You are also hurt when you have a bruise, a cut that bleeds, or a broken bone.
1Yes
2No
P1c) Did the people who did this use any of these?
1Gun
2Knife
3Stick, rock, bottle, pipe, or tool such as a hammer or wrench
4Other (Specify ______)
5No weapon used
P2)(If Yes to P1, say: “Other than what you just told me about…..”) At any time in your child’s life, did any kid, even a brother or sister, hit your child? Somewhere like: at home, at school, out playing, in a store, or anywhere else?